Special Notice / Hearing: None__
Vote Required: 4/5ths
To: Honorable Board of Supervisors
From: Michael P. Callagy, County Executive
Subject: Use of District-Discretionary Measure K Funds - Supervisorial District 1
RECOMMENDATION:
title
Measure K: Approve an Appropriations Transfer Request (ATR) transferring district-discretionary Measure K funds, not to exceed $40,000, from Non-Departmental Services to San Mateo County Health, to support a strategic planning process to increase equitable access to behavioral health services for school-aged and transition-aged youth.
body
BACKGROUND:
Measure K is the half-cent general sales tax initially approved by San Mateo County voters in November 2012 and extended in November 2016 for a total of thirty years.
On March 9, 2021, and March 23, 2021, the Board of Supervisors (Board) held study sessions on Measure K expenditures and anticipated revenue for fiscal years (FY) 2021-23. The Board-appointed Measure K sub-committee, consisting of Supervisor Pine and Supervisor Canepa, convened the study sessions to, among other things, work with staff to facilitate the Board’s development of Measure K priorities and continuing initiatives for FYs 2021-23. The Board approved $5 million in one-time loans or grants for the FY 2021-23 budget cycle, divided equally among the five supervisorial districts, for district-discretionary needs and projects. District 1 has submitted a request to use their district-discretionary Measure K funds as shown below and described in the Project Summary section of this memorandum:
|
District/Project |
Amount |
|
District 1 (Supervisor Dave Pine) - San Mateo County Health: support a strategic planning process to increase equitable access to behavioral health services for school-aged and transition-aged youth |
$40,000 |
This item is consistent with the criteria for district-discretionary Measure K funds approved by the Board in December 2018.
PROJECT SUMMARY:
This is a request to authorize a transfer of funds from Non-Departmental Services to County Health in an amount not to exceed $40,000, to support a strategic planning process to increase equitable access to behavioral health services for school-aged and transition-aged youth.
A recent Centers for Disease Control and Prevention report stated that in 2021, more than 4 in 10 (42%) students in the United States felt persistently sad or hopeless and nearly one-third (29%) experienced poor mental health.
San Mateo County’s school-aged children, youth, and the caregivers who support them face mental health and behavioral health challenges that are compounded by long-standing inequities experienced acutely in specific places and by specific populations. Addressing the complex multi-faceted and multi-system challenges requires a holistic approach, including a shared understanding that aligns strategies, prioritizes collaboration, and embraces accountability to achieve equity in the provision of mental health services.
As a result, Behavioral Health and Recovery Services (BHRS) is partnering with the San Mateo County Office of Education (COE) to launch a year-long strategic planning process, under the auspices of the Coalition for Safe Schools and Communities, to increase equitable access to behavioral health services for school-aged and transition-aged youth. This process will include a broad array of partners, including youth leaders and those with lived experience. The strategic planning process’ goal is to identify the gaps and shared priorities for all school-aged youth to experience equitable opportunities for improved social-emotional wellness.
A small group of key leaders (Lead Team) with representation on the Coalition for Safe Schools and Communities Steering Committee will provide ongoing guidance and oversight to the project. The County Superintendent of Schools, the Director of the Health Care Services Agency, the Director of San Mateo County Behavioral Health and Recovery Services, and the CEO of the Health Plan of San Mateo are proposed as members of this collaborative Workgroup. In addition, Lead Team members will identify other staff from their respective agencies to lead or participate in the Workgroup. The Lead Team will kick off its work by drafting an overarching vision, refining the proposed timeline, and outlining a plan to recruit Workgroup members. The Lead Team will meet monthly to guide the work with the support of the consultant team.
At the department-level, BHRS intends to enter into an agreement with Health Management Associates, Inc. (HMA) in an amount not to exceed $185,000, for consultant services to lead the strategic planning process described above. HMA was selected following a Request for Quotes process. In addition to the $40,000 of proposed district-discretionary Measure K funds, funding for the agreement will come from Mental Health Services Act (MHSA) one-time System Transformation funds (in the amount of $90,000), the Peninsula Health Care District (in the amount of $30,000), and the Sequoia Health Care District (in the amount of $25,000).
HMA will help develop the final design and plan for launch of the collaborative structure for Lead Team discussion and possible refinement. HMA will participate in three meetings to update the Safe Schools and Communities Coalition on progress, reflect on the Workgroup findings, develop shared outcomes, and adopt a new collaborative structure.
It is anticipated that HMA will convene four workgroups to identify gaps and intersecting initiatives to develop a plan of action for school-aged and transition-aged youth. HMA will support the recruitment, meeting timeline, work plan and meeting agendas for the workgroups to meet for six to eight 90-minute meetings (Group #1 - elementary age; Group #2 - middle school age; Group #3 - high school age; Group #4 - transition age).
Total Measure K Request: Not to Exceed $40,000
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Estimated |
FY 2023-24 Projected |
|
Number of workgroups convened to identify gaps and intersecting initiatives to develop a plan of action for school-aged and transition-aged youth |
0* |
4 workgroups for 6-8 meetings |
* New performance measure for FY 23-24
The County Attorney’s Office has reviewed and approved the ATR as to form.
FISCAL IMPACT:
There are sufficient Measure K funds for this specific FY 2022-23 Measure K request. These funds are budgeted in the Non-Departmental Services FY 2022-23 Adopted Budget.